The Etiology of malocclusion General factors Local factors Skeletal factor Muscle factor Dental factor
Muscle factors affecting occlusal development Dr. Ahmed AL-Mayali B.D.S M.Sc. Ortho. ahmed.almayali@uokufa.edu.iq
Muscle factors affecting occlusal development The lips Vertical plane Sagittal plane
Competent lip Incompetent lip Vertical plane
Incompetent lip Skeletal Soft tissue importance
Sagittal plane Cl II Cl III
Sagittal plane - + Mild Cl II sever Cl II
The lip-line Normal
Low lip line
Not applicable
High lip line
The tongue Tongue size Tongue size = lower jaw Open bite
Tongue posture Lips apart Nasal breathing
Tongue function
Normal swallowing requirement closure of the lips Teeth in light occlusal contact Tongue elevated to the palate Momentary clenching of the teeth as food pass
1-Tooth apart adaptive swallowing
Adaptive swallowing 2-Tooth together adaptive swallowing
3-Swallowing with endogenous tongue thrust
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